Orthopedics. 2022 Sep-Oct;45(5):e252-e256. doi: 10.3928/01477447-20220511-04. Epub 2022 May 17.
Patient satisfaction is increasingly used to assess the quality of care and determine physician reimbursement. Patient characteristics influence patient satisfaction, but the effect of physician practice parameters on satisfaction has not been studied in detail. Outpatient satisfaction scores from 11,059 patients who rated 24 orthopedic surgeons from a single institution were studied. Practice-related parameters were collected in a provider-reported survey. Univariate logistic regressions were used to test the associations between each provider characteristic and the likelihood of receiving a 5-star rating on a selection of 16 Press Ganey patient satisfaction questions. The presence of a physician assistant in the clinic positively affected the 5-star rating for all but 1 of the patient satisfaction questions examined, including overall satisfaction (odds ratio [OR], 1.38; 95% CI, 1.03-1.85; =.031); the likelihood of being recommended to others (OR, 1.57; 95% CI, 1.16-2.14; =.004); and friendliness/courtesy (OR, 1.58; 95% CI, 1.17-2.13; =.003). However, having a fellow or nurse practitioner in the clinic, treating children, productivity (measured as total relative value units), taking trauma call, and provider distance from home were not associated with higher scores for any of the Press Ganey patient satisfaction questions. Having a physician assistant in the clinic is an actionable, practice-specific characteristic that positively affects patient satisfaction on many levels and may ultimately improve the perception of care. [. 2022;45(5):e252-e256.].
患者满意度越来越多地被用来评估医疗质量和确定医生的报酬。患者特征会影响患者满意度，但医生实践参数对满意度的影响尚未详细研究。研究了来自单一机构的 24 名骨科医生的 11059 名患者的门诊满意度评分。在提供者报告的调查中收集了与实践相关的参数。使用单变量逻辑回归测试了每个提供者特征与在 16 个 Press Ganey 患者满意度问题中获得 5 星评级的可能性之间的关联。诊所中存在医师助理对所有但 1 个患者满意度问题的 5 星评级产生了积极影响，包括总体满意度（比值比 [OR]，1.38；95%置信区间 [CI]，1.03-1.85；=.031）；被推荐给他人的可能性（OR，1.57；95% CI，1.16-2.14；=.004）；和友善/礼貌（OR，1.58；95% CI，1.17-2.13；=.003）。然而，在诊所中有研究员或执业护士、治疗儿童、生产力（以总相对价值单位衡量）、接受创伤电话和提供者与家的距离与任何 Press Ganey 患者满意度问题的高分都没有关联。在诊所中有医师助理是一种可操作的、特定于实践的特征，它在多个层面上积极影响患者满意度，并最终可能改善对护理的感知。[。2022 年；45（5）：e252-e256. ]。
